谁应该参与临床实践指南的制订?

Who Should Participate in the Development of Clinical Practice Guidelines?

临床实践指南是指导临床医务工作者科学决策的重要依据。近年随着指南数量的增多,其质量也受到越来越多的关注。但对于谁应该参与指南的制订,应如何科学合理地成立指南制订工作组,目前各指南制订机构和制订手册尚未给出统一明确的要求。本文分析比较了现有指南中参与制订的人员及工作组现状,不同指南制订手册中对指南制订工作组的要求和规定,以及不同机构对指南方法学家的定义和职责,并在此基础上就如何成立指南制订工作组提出思考与建议。

Clinical practice guidelines(CPG)are important tools for supporting evidence-based decision-making to clinicians.In recent years,with the increase in the number of CPGs,their quality has received more and more attention.However,for those who should participate in the development of CPGs and how to form a guideline-development group(GDG)scientifically and reasonably,the institutions and handbooks for guideline development have not yet given clear and unified requirements.Thus,we analyzed and compared the status quo of the GDG formation from the existing guidelines,the requirements and regulations for the GDG formation from different handbooks of guideline development,and the definitions and responsibilities of the guideline methodologists from different institutions.On this basis,we give our recommendations on how to form GDG.